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General NPI Number Information
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NPI Number | 1548528060
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Entity Type | Organization
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Legal Business Name | OHIO HEALTH HOME CARE AGENCY
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 9039 ANTARES AVE SUIT A
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City | COLUMBUS
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State | OH
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Zip | 43240-4067
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Country | US
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Telephone | 614-252-4666
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | LEWIS CENTER
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State | OH
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Zip | 43035-0128
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Country | US
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Telephone | 614-252-4666
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YARED GETACHEW
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Credential |
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Telephone | 614-252-4666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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